{"id":2455,"date":"2026-01-22T16:07:52","date_gmt":"2026-01-22T15:07:52","guid":{"rendered":"https:\/\/www.doctorasantillanpalencia.es\/?page_id=2455"},"modified":"2026-10-27T19:31:08","modified_gmt":"2026-10-27T18:31:08","slug":"echographie-3d-et-haute-resolution-adenomyose","status":"publish","type":"page","link":"https:\/\/www.doctorasantillanpalencia.es\/fr\/echographie-3d-et-haute-resolution-adenomyose\/","title":{"rendered":"\u00c9chographie 3D et haute r\u00e9solution. Ad\u00e9nomyose"},"content":{"rendered":"\t\t
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\u00c9chographie 3D et haute r\u00e9solution. Ad\u00e9nomyose<\/h1><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Classiquement, l\u2019\u00e9chographie 3D est utilis\u00e9e en diagnostic pr\u00e9natal pour \u00e9valuer les malformations f\u0153tales. Cependant, ce n\u2019est pas le seul domaine o\u00f9 elle apporte de grands avantages. En gyn\u00e9cologie, et en particulier en fertilit\u00e9, l\u2019\u00e9chographie haute r\u00e9solution et la reconstruction tridimensionnelle de la cavit\u00e9 ut\u00e9rine sont particuli\u00e8rement utiles pour le diagnostic des malformations de la cavit\u00e9 ut\u00e9rine, de l\u2019endom\u00e9triose profonde et de l\u2019ad\u00e9nomyose. L\u2019endom\u00e9triose est une affection dans laquelle le tissu qui tapisse l\u2019ut\u00e9rus, l\u2019endom\u00e8tre, se d\u00e9veloppe en dehors de l\u2019ut\u00e9rus, g\u00e9n\u00e9ralement sur les ovaires, les trompes de Fallope ou les tissus environnants. L\u2019endom\u00e9triose peut affecter la fertilit\u00e9 en bloquant les trompes de Fallope, en provoquant une inflammation et des cicatrices, ou en alt\u00e9rant la qualit\u00e9 des ovocytes.<\/p>

L\u2019ad\u00e9nomyose est un trouble dans lequel les glandes endom\u00e9triales envahissent le myom\u00e8tre sous-jacent. L\u2019ad\u00e9nomyose provoque habituellement des douleurs abdominales et une modification du sch\u00e9ma des saignements, mais elle est parfois asymptomatique. Le diagnostic de l\u2019ad\u00e9nomyose avec des \u00e9chographes de basse r\u00e9solution peut passer inaper\u00e7u.<\/p>

Les crit\u00e8res \u00e9chographiques directs sont les kystes intramyom\u00e9triaux, les \u00eelots hyper\u00e9chog\u00e8nes et les bourgeons sous-endom\u00e9triaux. Les crit\u00e8res indirects sont un ut\u00e9rus globuleux, une asym\u00e9trie myom\u00e9triale, des ombres en \u00e9ventail et une zone jonctionnelle irr\u00e9guli\u00e8re. La sensibilit\u00e9 pour l\u2019\u00e9valuation de la zone jonctionnelle augmente notamment gr\u00e2ce \u00e0 la reconstruction de la cavit\u00e9 ut\u00e9rine dans le plan coronal que permet l\u2019\u00e9chographie 3D, avec une r\u00e9solution comparable \u00e0 celle de l\u2019imagerie par r\u00e9sonance magn\u00e9tique pelvienne.<\/p>

L\u2019\u00e9tude Doppler de la vascularisation ut\u00e9rine, que permettent les \u00e9chographes haute r\u00e9solution, aide \u00e9galement au diagnostic diff\u00e9rentiel entre myome et ad\u00e9nomyose. L\u2019ad\u00e9nomyose r\u00e9duit de 25 \u00e0 30 % les chances de succ\u00e8s en fertilit\u00e9, il est donc tr\u00e8s important d\u2019en tenir compte pour pouvoir donner un pronostic r\u00e9aliste. Lors du suivi de la stimulation de l\u2019ovulation, les logiciels modernes SonoAVC permettent un comptage automatis\u00e9 et une mesure tridimensionnelle de tous les follicules. Enfin, la r\u00e9solution de l\u2019\u00e9chographe aide \u00e0 distinguer les kystes annexiels b\u00e9nins des kystes malins. Les crit\u00e8res \u00e9chographiques de malignit\u00e9 sont la pr\u00e9sence de parois irr\u00e9guli\u00e8res (>3 mm), de cloisons \u00e9paisses, de projections papillaires solides, d\u2019une vascularisation interne abondante d\u00e9tect\u00e9e au Doppler couleur et d\u2019un aspect h\u00e9t\u00e9rog\u00e8ne avec des zones r\u00e9fringentes.<\/p>

L\u2019\u00e9chographie 3D haute r\u00e9solution est disponible \u00e0 chaque consultation \u00e0 la Calle Lagasca 122 (code sanitaire CS2554)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Classiquement, l\u2019\u00e9chographie 3D est utilis\u00e9e en diagnostic pr\u00e9natal pour \u00e9valuer les malformations f\u0153tales. Cependant, ce n\u2019est pas le seul domaine o\u00f9 elle apporte de grands avantages. En gyn\u00e9cologie, et en particulier en fertilit\u00e9, l\u2019\u00e9chographie haute r\u00e9solution et la reconstruction tridimensionnelle de la cavit\u00e9 ut\u00e9rine sont particuli\u00e8rement utiles pour le diagnostic des malformations de la cavit\u00e9 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"disabled","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"editor_notices":[],"footnotes":""},"class_list":["post-2455","page","type-page","status-publish","hentry"],"yoast_head":"\n\u00c9chographie 3D et haute r\u00e9solution. 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